Cervical lymphadenopathy is the most common presentation of neck swelling encountered in surgical OPD which having varied etiologies. The objective of the study was to conduct a detailed evaluation and giving importance to treatment of tubercular lymphadenopathy Methods: A prospective study of 100 patients was carried out in Dr. B.R.Ambedkar Medical College from November 2016 to may 2018.Clinical Assessment and appropriate investigations were done followed by disease specific treatment and surgical intervention when necessary. Results: In our study majority of the cases were observed between 21 – 40 years of age (44 cases – 48%). TB lymphadenopathy is present in 67 patients followed by secondaries in 18 patients. Upper jugular lymph node enlargement is present in in 48 patients followed by Posterior cervical lymph node enlargement is present in in 30 patients. FNAC by virtue of it being inexpensive and quick in getting the results and easy to perform. Surgery is reserved for biopsy, sinus/abscess and for lymphnodes that do not resolve with chemotherapy and as a adjuvant to chemotherapy. Interpretation & Conclusion: Cervical lymphadenopathy has varied manifestations. Detailed history, examination and relevant investigations and providing disease specific treatment will cure the patient and improve the prognosis. TB lymphadenopathy is the most common cause of lymphnode enlargement which warrants early diagnosis and treatment in order to prevent complications.